Amanda Rose Woelfel Padilla, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25539 Issued in MN

Practice address

1405 Lilac Dr N Ste 151
Golden Valley, MN 55422-4536

Phone

(763) 525-9919

NPI assigned

Aug 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1366099152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 151",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224536",
            "telephone_number": "763-525-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 151",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224536",
            "telephone_number": "763-525-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOELFEL PADILLA",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Wing, MS
• Todd Robert Winkler, M.A. L.P.
• Parin A Winter, M.D.
• Gerald Nicholas Wintheiser, D.D.S.
• Beth Wittersen, P.T.
• Laura A Wolf
• Ann Laurie Woodruff, LICSW
• Woodworth Psychological Services, LLC
• Kendra Ann Woodworth, PSYD, LP
• Sheila Kaye Woolhiser

• Clinical Social Worker in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.